Suites A, B & C WebProvider Quick Reference Guide. WebPhone. Health Education Referral / Interest Form, Case Management & Disease Management Programs. WebPhone: 1-888-JAI-1999 Hours: Monday through Friday, 9am to 6pm Web: www.jaimedicalsystems.com Jai Medical Systems 301 International Circle Hunt Valley, MD 21030 CONTACT US Provider Newsletter A Message from the Director of Provider Relations 1 Provider Toolkit for Redetermination Efforts WebTo ensure that your claims are done quickly plus accurately, please make sure to follow which uncomplicated guidelines respecting billing practices, referrals, and authorizations. The company is currently celebrating its 20th year of operations. The following are risk factors for getting HIV: This is not a complete list of risk factors. Though the virus is still in the body, at that point, there is no risk of transmitting HIV to a sexual partner. 837 Claim Transactions: EDI enrollment applies to ERA only and is not necessary prior to sending claims. Getting tested for HIV is the only way to be sure. Jai Medikament Systems Operated Care Organisation, Inc. tracks the Ma Medicaid billing guidelines for claims billing. Baltimore, MD (September 21, 2017) Baltimore based Jai Medical Systems Managed Care Organization, Inc. (Jai Medical Systems) is the Highest Rated Medicaid Health Insurance Plan in Maryland and the United States for 2017-2018, according to the National Committee for Quality Assurance (NCQA) Health Insurance Plan Ratings. Webclaims on line at www.ubhonline.com. Webclaims on line at www.ubhonline.com. Please signup using the Register below. Jai Medical Systems From credentialing, authorizations and claims processing, to network training and patient engagement, we are committed to driving value for your dental practice. News & Notices. Frequently Asked Questions WebClaims Customer Service. Fax: 410.567.0399, 6210 Georgetown Blvd WebPaper Claims. WebWith observance of Memorial Day, Jai Restorative Systems intention be closed on Monday, May 29, 2023. Update My Information. uhGJEQ"[vY Jai Medical Systems Managed Customer Your, Inc. follows the Maryland Medicaid billing guidelines for claims billing. WebMedical Necessity: BioScrip (800) 555-8513 Prior Authorization: BioScrip (800) 555-8513 Provider Relations: Jai Medical Systems Managed Care Organization, Inc. (888) JAI-1999 PHARMACISTS Provider Network Questions: BioScrip (800) 230-8187 Provider Relations: BioScrip (800) 213-5640 XIII. rewards - Jai Medical Systems We are very proud to be the highest rated Medicaid health plan in the United States. JAI MEDICAL SYSTEMS Health Education Referral / Interest Form, Case Management & Disease Management Programs. We recommend that you update your browser in order to get the best experience using our website. Please contact our Customer Service Department today for more information about Jai Medical Systems or to learn more about our benefits and services. 2023 Jai Medical Systems | Website Design: Points Group, LLCJai Medical Systems Managed Care Organization and its logo are registered trademarks. However, with current HIV medicines, people infected with HIV can live long and healthy lives. hbbd```b``@$'d&A$Mx9H2M$){ #c 4F " NCQAs Excellent Accreditation status is reserved for the best health plans in the nation. Announcements - Jai Medical Systems The infected persons health is also protected by stopping the virus from progressing to AIDS. WebAt Jai Medical Systems, we pride ourselves on making the application and credentialing process as simple as possible for providers wanting to join our network. Jai Medical Talk with your doctor as well about how to manage HIV during this pandemic. Prior Authorization Guidelines - Jai Medical Systems Jai Medical Systems Provider Information Update. If you have any questions regarding this form, please contact the Provider Relations Department at 1-888-JAI-1999. Jai Medical Systems is a Baltimore-based company founded in 1997 by Hollis Seunarine, M.D., FAAFP and Jai Seunarine. In fact, Jai Medical Systems is the only Medicaid Health Plan in the United States to earn a 5-star rating from NCQA consecutively since 2016. Please signup using the Register below. Regards, Kristin Yursha Once the referral has been completed, fax one copy to Jai Medical Systems s Claims Processing Center, fax number 1-866-381-7200, and one to the Specialist or Facility. address Crisis Response Inc (BCRI): 410.433.5175, Balt. In addition, our reimbursement rates are some of the most competitive in the industry. 473 0 obj <>stream Ensuring our members receive high-quality healthcare is our primary focus and passion. Phone 1: 410.944.HOPE For 2021-2022, Jai Medical Systems earned a 5 out of 5 star rating from NCQA. WebQuality Assurance. Without HIV treatment, people stay in this stage from eight to 15 years, but it can pass faster for some. We recommend that you update your browser in order to get the best experience using our website. Jai Medical Systems The National Committee for Quality Assurance (NCQA) is a private, non-profit organization dedicated to improving healthcare quality. Healthy Rewards. Jai Medical Systems *National Committee for Quality Assurance (NCQA) is a private, non-profit organization dedicated to improving health care quality. Without treatment, HIV eventually damages the immune system enough to progress to AIDS. Webwishing to submit paper claims can mail them to: Jai Medical Systems 301 International Circle Hunt Valley, MD 21030 Attn: Claims Department For an initial submission of an ER claim with medical records, please mail to: Jai Medical Systems P.O. hb```,|B pjp),E K70g&_Gk1L{0e:jYDasH @, "b.898] If you know you have been in an at risk situation with an HIV-positive person and develop these symptoms, you should get tested immediately. jaimedicalsystems.com. This program is designed to provide our members with extra resources for their health needs, treatment goals, and tools to help our members maintain AIDS occurs when the body can no longer fight other infections. Jai Medical Systems Member Satisfaction Survey Evaluation 2020 Jai Medical Systems Managed Care Organization, In. JAI MEDICAL SYSTEMS WebTill ensure that your claims are processed quickly and accuracy, please make sure at follow these simple guidelines regarding billing acts, transfers, and authorizations. 2023 Jai Medical SystemsJai Medical Systems Managed Care Organization and its logo are registered trademarks. In fact, Jai Medical 2 SBRIT Process Systems is the only Medicaid Health Plan in the United States to earn a 52 Provider Satisfaction Survey 2 Changes for Behavioral Services 3 Referrals to Specialists 3 Visit Us Online 4 Have you Enrolled with ePrep? In an effort to support our network providers and their continued efforts with our quality metrics, we are pleased to share the launch of the Jai Medical Systems Provider Incentive Program (PIP). 2023 Jai Medical Systems | Website Design: Points Group, LLCJai Medical Systems Managed Care Organization and its logo are registered trademarks. His dedication and example inspire and remind us that the privilege of serving our members and ensuring that they receive high quality healthcare requires our best efforts and our steadfast commitment to making the impossible possible. saidJai Seunarine, Chief Executive Officer of Jai Medical Systems. Members have no financial liability for covered benefits under the HealthChoice program. WebPlease use the form below to let us know of any changes to your information. Jai Medical Systems performance distinguishes the company not only in Maryland but ranks the company among the best in the nation. Jai Medical Systems If you want Medicare to be able to give your personal information to someone other than you, you need to fill out an "Authorization to Disclose MCO/BHO Electronic Billing Information WebProvider Relations Representative at Jai Medical Systems Managed Care Organization, Inc. Nottingham, Maryland, United States 44 followers 42 connections Not everyone infected with HIV will have the same symptoms and some individuals may not have any symptoms. 462 0 obj <>/Filter/FlateDecode/ID[]/Index[449 25]/Info 448 0 R/Length 85/Prev 558012/Root 450 0 R/Size 474/Type/XRef/W[1 3 1]>>stream Member Portal Login; Healthy Living; Update My Information; Health Education Referral / Interest Form; Find a Provider. Jai Medical Systems Managed Care Organization, Incase. News & Notices. Case Management & Disease Management Programs. Clover Provider Quick Reference Guide Electronic Contact Us Jai Medical Systems JAI MEDICAL SYSTEMS Electronic billing is available to contracted participating providers and facilities. Traditional Plan Claim Form Jai Medical Systems Managed Care Company, Inc. follows who Maryland Medicaid billing guidelines available claims billing. Authorized participating Jai Medical Systems providers may register via this site to take advantage of on-line claims submission. Become a Member. Submit a Request for Grievance/Appeal In fact, Jai Medical Systems is the Highest Rated Medicaid Health Plan in Maryland and one of the Top-Rated Medicaid health plans in the nation with a rating of 4.5 out of 5 in NCQAs Medicaid Health Insurance Plan Ratings 2022-2023*. Please see below for more information regarding the current HEDIS measures under the PIP program: We strive to ensure our members have access to quality care. WebPlease contact our Customer Service Department at 1-888-524-1999. Member Information. ERA enrollment processing can take up to 15 business days. There are three stages of HIV: Within two to four weeks after being infected with HIV, two-thirds of people will have a flu-like illness. With few exceptions, Medicaid and HealthChoice providers are not allowed to bill members. Please make copies of your bills for your records before you submit the original bills. Our PIP program is designed to reward our network providers with assisting us in meeting our quality goals and objectives by providing immediate financial rewards when appropriate CPT II codes are submitted with medical claims, as appropriate. 1-888-JAI-1999 WebStart on editing, signing and sharing your Jai Medical Services online following these easy steps: Push the Get Form or Get Form Now button on the current page to make your way to the PDF editor. HIV was first identified in 1981, though it was infecting humans for much longer prior to 1981. %%EOF To be recognized as one of the highest Jai Medical Systems encourages all participating providers to submit claims electronically, however, providers wishing to submit paper claims can mail them to: Jai Medical Systems 301 International Circle Hunt Valley, MD 21030 Attn: Claims Department. WebMailing Address for Claims: Clover Health P.O Box 3236 Scranton, PA 18505 Claims Payment Dispute Reconsideration Must be submitted in writing within 90 days from date of Explanation of Payment. WebJai Medicine Systems Managed Grooming Organization, Inc. follows one Maryland Medicaid billing guidelines on claims billing. Jai Medical Systems Posted September 22, 2017 by jms_admin & filed under Uncategorized. For your convenience, our Customer Service Department is available Monday through Friday 9 am to 6 pm. NCQA accredits and certifies a wide range of health care organizations and recognizes clinicians in key clinical areas. DentaQuest AIDS is not a virus. Without ART medicine, the survival time for people with AIDS is only one to three years. Quality Assurance Program 2021 NCQA accredits and certifies a wide range of healthcare organizations and recognizes clinicians in key clinical areas. Response System (B-CARS): 410.752.227, CareFirst BlueCross Blue Shield Community Health Plan Maryland. WebProvider Services / Claims ( 877 ) 853 - 8019 Enrollment ( 855 ) 593 - 5757 Care Management ( 888 ) 995 - 1689 80( 0) 308 - 1107 Mailing Address for Appeals & Grievances or Medical Management: Clover Health Harborside Financial Center Plaza 10 Suite 803 Jersey City, NJ 07311 Primary Care Medical Centers Insurances Clover County Crisis Response System: 410.931.2214; Balt. Please contact our Provider Relations Department if you require assistance in accessing our Provider Manual and/or Provider Portal. Participating Medical Centers. Jai Medical Systems Managed Care Organization, Inc. follow the Maryland Medicaid billing guidelines available claims billing. WebSSI Claimsnet Registration. Talk with your doctor or a healthcare professional right away if you think you might have HIV or have been in sexual contact with someone who is HIV-positive. Initiating actions to stu dy and address impact of problems/issues affecting Jai Medical Systems members and providers; 12. PrEP is effective in preventing HIV infection through sex or drug use, and PEP is taken after exposure to an infected person to help prevent getting HIV. If you are interested in joining our network, please complete the Provider Interest Form below and a member of our Provider Relations Department will contact you within 24 hours. Member Rights and Responsibilities. WebJai Medical Methods Managed Care Organization, Inc. follows one Maryland Medicaid billing guidelines for claims billing. Some behaviors have a much higher risk of transmission than others. Web1-888-JAI-1999. WebOur Customer Service Representatives are here to help you. Contact Claims Customer Service for general claims information and billing questions, claim payment status, claims submission. Baltimore, MD 21207 Please signup using the Register below. Jai Medical Systems is continually evaluating and evolving its systems and population management strategies to ensure they are efficient, effective, and scalable. The virus spreads by contact with certain bodily fluids of a person infected with HIV. Member Rights and Responsibilities. WebPrinter Friendly View Address: 5010 York Rd Baltimore, MD, 21212-4444 United States See other locations NCQAs Web site (www.ncqa.org) contains information to help consumers, employers, and others make more informed health choices. Though the virus is still in the body, at that point, there is no risk of transmitting HIV to a sexual partner. WebJai Medical Systems 5010 York Road Baltimore, MD 21212 Attn. Provider Directory In addition to Jai Medical Systems distinction of being the Highest Rated Medicaid Health Plan in the United States, the organization has also earned an Accreditation status of Excellent for the third year in a row. Definitions/Glossary. County Crisis Response System: 410.931.2214, Balt. The current list of NDCs and J-Codes Covered by High Cost Low Volume Risk Mitigation Policy: Drug Name NDC Code J Code (if applicable) Actimmune 75987011111 Actimmune 42238011112 document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); 2023 Jai Medical Systems | Website Design: Points Group, LLCJai Medical Systems Managed Care Organization and its logo are registered trademarks. WebMembers. Update Provider Information WebThe criteria for this system have been established by the ProCare Rx/Jai Medical Systems Managed Care Organization program, with input from pharmacists and physician practitioners and in consideration of the available medical literature. Jai Medical Systems Jai Medical Systems is pleased to partner with SSI Claimsnet to offer electronic claims processing to our providers. Jai Medical Systems Managed Care Organization JAI MEDICAL SYSTEMS MANAGED CARE ORGANIZATION, INC Jai Medical Center Click the button below to get office address and phone numbers. Webapplicable,to Jai Medical Systems Claims Processing Center (fax number 1-866-381-7200) prior to claim submission. Also, the early stages of HIV-infection are when the infected person is most contagious to others, and prevention of infecting others is key. WebProvider Quick Reference Guide. The more certain behaviors are repeated, the higher the overall risk of getting HIV. FAQs. 2023 Jai Medical Systems | Website Design: Points Group, LLCJai Medical Systems Managed Care Organization and its logo are registered trademarks.
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